| NPI | 1386333847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95029983) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-11-15 |